Employment Application
General Information
Full Name: *
First Name
 *
Last Name
M.I.
 Date:
Address:
Street Address
Apartment/Unit #
City
State
Zip
Phone:
Email:
 
Date Available:
Salary:
Position:
Citizenship:
Are you a citizen of the United States?
If no, are you authorized to work in the U.S.?
Worked Here:
Have you ever worked for this company?
If yes, when?
Felony:
Have you ever been convicted of a felony?
If yes, Explain:
Referred By:
Were you referred by a current employee? If yes, please include their name.
 
Education
High School:
Address:
From:
To:
Graduate:
Did you graduate?
 Degree:
College:
Address:
From:
To:
Graduate:
Did you graduate?
 Degree:
Other:
Address:
From:
To:
Graduate:
Did you graduate?
 Degree:
 
References
Please list three professional references.
Full Name:
Relationship:
Company:
Phone:
Address:
Full Name:
Relationship:
Company:
Phone:
Address:
Full Name:
Relationship:
Company:
Phone:
Address:
 
Previous Employment
Company:
Phone:
Address:
Supervisor Name:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
Start Date:
End Date:
Reason for leaving:
Contact:
May we contact your previous supervisor for a reference?
Company:
Phone:
Address:
Supervisor Name:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
Start Date:
End Date:
Reason for leaving:
Contact:
May we contact your previous supervisor for a reference?
Company:
Phone:
Address:
Supervisor Name:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
Start Date:
 mm/dd/yyyy
 End Date:
Reason for leaving:
Contact:
May we contact your previous supervisor for a reference?
  
Military Service
Branch:
Start Date:
End Date:
Rank at Discharge:
Type of Discharge:
If other than honorable, explain:
  
Disclaimer and Signature
Please read carefully before signing. Spear Corporation is an equal opportunity employer. Spear Corporation does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Spear Corporation to hire me. I attest with my signature below that I have given to Spear Corporation true and complete information on this application, as well as all other submitted documents. No requested information has been concealed. I authorize Spear Corporation to contact references and previous employers for employment related information. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.
Signiture *

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